Tupa trauma koštanih struktura grudnog koša – kompjuterizovana tomografija vs multidetektorska kompjuterizovana tomografija

  • Kosta Petrović Center of Radiology, Clinical Centre of Vojvodina, Novi Sad, Serbia
  • Ivan Turkalj Center of Radiology, Clinical Centre of Vojvodina, Novi Sad, Serbia
  • Sanja Stojanović Center of Radiology, Clinical Centre of Vojvodina, Novi Sad, Serbia
  • Viktorija Vučaj-Ćirilović Center of Radiology, Clinical Centre of Vojvodina, Novi Sad, Serbia
  • Olivera Nikolić Center of Radiology, Clinical Centre of Vojvodina, Novi Sad, Serbia
  • Dragana Stojiljković Department of Radiology, St. Elisabeth Hospital, Bad Kissingen, Germany
DOI: https://doi.org/10.2298/1342
Ključne reči: Radiation||, ||zračenje, Bone and Bones||, ||kost i kosti, Tomography, Spiral Computed||, ||tomografija, spiralna kompjuterska, Thoracic Injuries||, ||povrede grudnog koša,

Sažetak


Uvod/Cilj. Kompjuterizovana tomografija (CT), naročito multidetektorska (MDCT), ima revolucionarni uticaj na dijagnostiku kod traumatizovanih bolesnika. Cilj istraživanja bio je da se utvrdi i uporedi učestalost povreda koštanih struktura grudnog koša prikazanih aksijalnim CT snimcima debljine 5 mm i tankoslojnim MDCT pregledom uz upotrebu 3D rekonstrukcija, prvenstveno multiplanarnih reformacija (MPR). Metode. Ova prospektivna studija obuhvatila je 61 bolesnika sa tupom traumom kojima je urađena CT grudnog koša kao deo inicijalne dijagnostike. Dva iskusna radiologa opisali su posebno (nezavisno) aksijalne CT preseke debljine 5 mm (5-mm CT) kao što se to čini na monoslajsnom skeneru; MPR i druge 3D rekonstrukcije zajedno sa tankoslojnim aksijalnim presecima koje omogućuje MDCT tehnologija. Nakon opisa tankoslojnog pregleda, u slučaju nesuglasica u ovom nalazu ponovo je zajednički opisivan tankoslojni pregled koji je na kraju smatran istinitim nalazom. Rezultati. Razlika pregleda preloma kostiju grudnog koša (5 mm CT) između istraživača nije bila statistički značajna (p > 0,05). Poređenje rezultata pregleda sternuma (5 mm CT i MDCT) pokazuje postojanje statistički značajne razlike (p < 0,05) u korist boljeg prikaza povrede od strane MDCT pregleda. Zaključak. Multidetektorski CT je moćno dijagnostičko sredstvo kojim se može prikazati veći broj preloma kostiju grudnog koša kod bolesnika sa tupom traumom u odnosu na 5 mm CT, naročito u području sternuma za koji je uočena statistički značajna razlika u korist MPR. Sem toga, važnost MDCT ogleda se u lakšem i preciznijem prikazu nivoa povrede kosti.

 

Ključne reči:

toraks, povrede; povrede, zatvorene; dijagnoza; tomografija, kompjuterizovana, rendgenska; snimanje, trodimenzionalno; dijagnostičke tehnike i procedure.

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Objavljeno
2017/01/19
Broj časopisa
Vol. 70 Br. 8 (2013)
Rubrika
Originalni članak